Walgreen Co is a Pharmacy in Jackson, Mississippi. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1649285800. The last update date is 2022-05-23.
Walgreen Co's current location address is 977 Ellis Ave, Jackson, Mississippi. You can contact this provider via phone number 6019449965. The mailing address for Walgreen Co is 977 Ellis Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Walgreen Co |
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Address | 977 Ellis Ave, Jackson, Mississippi |
Phone Number | 6019449965 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Taylor L Kira |
Telephone Number | 2177092351 |
NPI Number Detail
NPI Number | 1649285800 |
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Provider Enumeration Date | 2006-07-29 |
Last Updated Date | 2022-05-23 |
Provider Mailing Address Detail
Address | 977 Ellis Ave |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392096256 |
Phone Number | 6019449965 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | 5927012 |
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2521436 | OTHER ID NUMBER-COMMERCIAL NUM | ||
7870064 | MS | -- |
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What is the unique identifier code issued to Walgreen Co by the Centers for Medicare & Medicaid Services (CMS)?
The Walgreen Co has been assigned the NPI (National Provider Identifier) 1649285800. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Walgreen Co is located?
The Walgreen Co is situated at the following address: 977 Ellis Ave, Jackson, MS, 392096256.
What is Walgreen Co's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Walgreen Co's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Walgreen Co receive the assignment of its 1649285800 from the Centers for Medicare & Medicaid Services?
The Walgreen Co was issued its 1649285800 by the Centers for Medicare & Medicaid Services on 2006-07-29.
As of what date were the details related to Walgreen Co most recently updated or revised?
The information pertaining to Walgreen Co, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-23.
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